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1649904871
JAKE SIMUNCAK
LA CROSSE, WI
NPI
1649904871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
JAKE SIMUNCAK
1316 WINNEBAGO ST
LA CROSSE, WI 54601-4816
Phone number: 414-559-9161
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Mailing Address
JAKE SIMUNCAK
1316 WINNEBAGO ST
LA CROSSE, WI 54601-4816
Phone number:
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